Individual
ERICA OGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2320 PERIMETER PARK DR, ATLANTA, GA 30341-1317
(770) 393-9901
Mailing address
3331 ALDEN PLACE DR NE, BROOKHAVEN, GA 30319-2967
(404) 993-1784
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1999
GA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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